| NPI | 1811401623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MARIE PRESTON Member Manager/Physician 281-835-4159 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX P7185) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX P7185) |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2022-12-30 |